Rider Profile - KSU Coaching

Section One - General Information

Name:*

First Last

Email:*

Phone:*

Address:

Street Address City Post Code

What is your preferred method of communication?*

In person
Phone call
Text message
Whatsapp
Zoom/Sykpe calls
Email
Other

If Other, please specify

Date of Birth:*

Gender:*

Height (cm):*

Current Weight (kg):*

Date of Weigh in:*

Current Resting Heart Rate (bpm):

Current Max Heart Rate (bpm):

How do you feel about your current state of health?*

1 - Extremely Dissatisfied 10 - Very Satisfied

Please enter a number from 1 to 10.

How do you feel about your current fitness level?*

1 - Extremely Dissatisfied 10 - Very Satisfied

Please enter a number from 1 to 10.

Outline your current work/study commitments:*

Please give as much detail as you can about any form of medical or health condition (including previous injuries) that might influence your sporting performance, including any medications that you take on a regular basis:*

Please outline details of any special dietary requirements. Do you have any food allergies or intolerances? Do you take any dietary supplements (including sports supplements)?*

Step 1 of 4

Section One - General Information

Section Two - Achievements and Ambitions

Section Three - Coaching and Support Requirements

Section Four - Current Training and Equipment